function form_ccdev_firstvisit() { if (func_num_args()>0) { $arg_list = func_get_args(); $menu_id = $arg_list[0]; $post_vars = $arg_list[1]; $get_vars = $arg_list[2]; $validuser = $arg_list[3]; $isadmin = $arg_list[4]; //print_r($arg_list); } if ($post_vars["ccdev_id"] && $post_vars["submitccdev"]) { $sql = "select mother_name, mother_educ_id, mother_occup_id, ". "father_name, father_educ_id, father_occup_id, ". "birth_weight, delivery_location ". "from m_patient_ccdev ". "where ccdev_id = '".$post_vars["ccdev_id"]."'"; if ($result = mysql_query($sql)) { if (mysql_num_rows($result)) { $ccdev = mysql_fetch_array($result); } } } print "<a name='visit'>"; print "<table width='300'>"; print "<form action = '".$_SERVER["SELF"]."?page=".$get_vars["page"]."&menu_id=$menu_id&consult_id=".$get_vars["consult_id"]."&ptmenu=".$get_vars["ptmenu"]."&module=".$get_vars["module"]."&ccdev=VISIT1' name='form_consult_ccdev' method='post'>"; print "<tr valign='top'><td>"; print "<b>".FTITLE_CCDEV_DATA_FORM."</b><br/><br/>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='tinylight'><b>IMPORTANT:</b> ".INSTR_FIRST_VISIT."</span><br/><br/>"; // MATERNAL DATA print "<table bgcolor='#FFCCFF' width='300' cellpadding='3'><tr><td>"; if (!isset($post_vars["mother_name"])) { $post_vars["mother_name"] = healthcenter::get_mothers_name($get_vars["consult_id"]); } print "<span class='boxtitle'>".LBL_MOTHERS_NAME."</span><br> "; print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='mother_name' value='".($ccdev["mother_name"]?$ccdev["mother_name"]:$post_vars["mother_name"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_MOTHERS_OCCUPATION."</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["mother_occup_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_MOTHERS_EDUCATION."</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["mother_educ_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; // PATERNAL DATA print "<table bgcolor='#99CCFF' width='300' cellpadding='3'><tr><td>"; print "<span class='boxtitle'>".LBL_FATHERS_NAME."</span><br> "; print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='father_name' value='".($ccdev["father_name"]?$ccdev["father_name"]:$post_vars["father_name"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_FATHERS_OCCUPATION."</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["father_occup_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_FATHERS_EDUCATION."</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["father_educ_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_BIRTH_WEIGHT."</span><br> "; print "<input type='text' class='textbox' size='10' maxlength='10' name='birth_weight' value='".($ccdev["birth_weight"]?$ccdev["birth_weight"]:$post_vars["birth_weight"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_DELIVERY_LOCATION."</span><br> "; print ccdev::show_delivery_location($ccdev["delivery_location"]?$ccdev["delivery_location"]:$post_vars["delivery_location"]); print "</td></tr>"; print "<tr><td><br/>"; if ($post_vars["ccdev_id"]) { if ($_SESSION["priv_update"]) { print "<input type='hidden' name='ccdev_id' value='".$post_vars["ccdev_id"]."' />"; print "<input type='submit' value = 'Update Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; print "<input type='submit' value = 'Delete Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; } } else { if ($_SESSION["priv_add"]) { print "<br><input type='submit' value = 'Save Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'><br>"; } } print "</td></tr>"; print "</form>"; print "</table><br>"; }
function form_ccdev_firstvisit() { if (func_num_args() > 0) { $arg_list = func_get_args(); $menu_id = $arg_list[0]; $post_vars = $arg_list[1]; $get_vars = $arg_list[2]; $validuser = $arg_list[3]; $isadmin = $arg_list[4]; //print_r($arg_list); } if ($post_vars["ccdev_id"] && $post_vars["submitccdev"]) { $sql = "select mother_name, mother_educ_id, mother_occup_id, " . "father_name, father_educ_id, father_occup_id, " . "birth_weight, delivery_location,date_registered,mother_px_id " . "from m_patient_ccdev " . "where ccdev_id = '" . $post_vars["ccdev_id"] . "'"; if ($result = mysql_query($sql)) { if (mysql_num_rows($result)) { $ccdev = mysql_fetch_array($result); } } } if (empty($ccdev["date_registered"])) { $ccdev_reg_date = ''; } else { if ($ccdev["date_registered"] != '0000-00-00') { list($reg_yr, $reg_month, $reg_date) = explode('-', $ccdev["date_registered"]); $ccdev_reg_date = $reg_month . '/' . $reg_date . '/' . $reg_yr; } else { $ccdev_reg_date = ''; } } print "<a name='visit'>"; print "<table width='400'>"; print "<form action = '" . $_SERVER["SELF"] . "?page=" . $get_vars["page"] . "&menu_id={$menu_id}&consult_id=" . $get_vars["consult_id"] . "&ptmenu=" . $get_vars["ptmenu"] . "&module=" . $get_vars["module"] . "&ccdev=VISIT1' name='form_consult_ccdev' method='post'>"; print "<tr valign='top'><td>"; print "<b>" . FTITLE_CCDEV_DATA_FORM . "</b><br/><br/>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='tinylight'><b>IMPORTANT:</b> " . INSTR_FIRST_VISIT . "</span><br/><br/>"; // MATERNAL DATA print "<table bgcolor='#FFCCFF' width='400' cellpadding='3'>"; print "<tr><td>"; print "<span class='boxtitle'>DATE REGISTERED</span><br>"; print "<input type='text' size='11' class='textbox' name='ccdev_date_reg' value='{$ccdev_reg_date}' ></input> "; echo "<a href=\"javascript:show_calendar4('document.form_consult_ccdev.ccdev_date_reg', document.form_consult_ccdev.ccdev_date_reg.value);\"><img src='../images/cal.gif' width='16' height='16' border='0' alt='Click Here to Pick up the date'></a>"; print "</td></tr>"; echo "<tr><td>"; if (!isset($post_vars["mother_name"])) { $post_vars["mother_name"] = healthcenter::get_mothers_name($get_vars["consult_id"]); } print "<span class='boxtitle'>" . LBL_MOTHERS_NAME . " (Click Search Mother button. The mother should be in the database.)</span><br> "; //$mother_id = ccdev::get_mother(); if (empty($ccdev['mother_px_id'])) { $get_mother_id = mysql_query("SELECT a.birthweight as child_birthweight, a.delivery_location as location, a.patient_id AS mother_id, c.patient_firstname AS fname, c.patient_lastname AS lname FROM m_patient_mc a JOIN m_consult b ON a.child_patient_id = b.patient_id JOIN m_patient c ON c.patient_id = a.patient_id WHERE b.consult_id = '{$get_vars['consult_id']}'") or die("Cannot Query 1171: " . mysql_error()); if ($result_mother_id = mysql_fetch_assoc($get_mother_id)) { $mother_id = $result_mother_id['mother_id']; $mother_name = $result_mother_id['fname'] . " " . $result_mother_id['lname']; } } print "<input type='text' size='20' class='textbox' " . ($_SESSION["isadmin"] || !$get_vars["patient_id"] ? "" : "disabled") . " name='mother_name' value='" . ($ccdev["mother_name"] ? $ccdev["mother_name"] : ($mother_name != '' ? $mother_name : $post_vars["mother_name"])) . "' style='border: 1px solid #000000' >"; echo "<input name='mother_px_id' type='hidden' size='20' value='" . ($mother_id != 0 ? $mother_id : $ccdev[mother_px_id]) . "'></input>"; echo " <input type='button' name='btn_search_spouse' value='Search Mother' onclick='search_patient(this.form.name,this.form.elements[1].name,this.form.elements[2].name);' style='border: 1px solid #000000'></input>"; print "</td></tr>"; /*echo "<tr><td>"; print "<span class='boxtitle'>PATIENT NUMBER OF MOTHERS IN CHITS</span>"; echo "<input type='text' name='mother_px_id' id='mothers' size='4' value='$ccdev[mother_px_id]'></input> "; echo "<input type='button' value='Verify' onclick='verify_mother_id();'></input>."; echo "</td></tr>";*/ echo "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_MOTHERS_OCCUPATION . "</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='{$id}' " . ($ccdev["mother_occup_id"] == $id ? "selected" : "") . ">{$name}</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_MOTHERS_EDUCATION . "</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='{$id}' " . ($ccdev["mother_educ_id"] == $id ? "selected" : "") . ">{$name}</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; // PATERNAL DATA print "<table bgcolor='#99CCFF' width='400' cellpadding='3'><tr><td>"; print "<span class='boxtitle'>" . LBL_FATHERS_NAME . "</span><br> "; print "<input type='text' size='30' class='textbox' " . ($_SESSION["isadmin"] || !$get_vars["patient_id"] ? "" : "disabled") . " name='father_name' value='" . ($ccdev["father_name"] ? $ccdev["father_name"] : $post_vars["father_name"]) . "' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_FATHERS_OCCUPATION . "</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='{$id}' " . ($ccdev["father_occup_id"] == $id ? "selected" : "") . ">{$name}</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_FATHERS_EDUCATION . "</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='{$id}' " . ($ccdev["father_educ_id"] == $id ? "selected" : "") . ">{$name}</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_BIRTH_WEIGHT . "</span><br> "; print "<input type='text' class='textbox' size='10' maxlength='10' name='birth_weight' value='" . ($ccdev["birth_weight"] ? $ccdev["birth_weight"] : $post_vars["birth_weight"]) . "' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_DELIVERY_LOCATION . "</span><br> "; print healthcenter::show_delivery_location($ccdev["delivery_location"] ? $ccdev["delivery_location"] : $post_vars["delivery_location"]); print "</td></tr>"; print "<tr><td><br/>"; if ($post_vars["ccdev_id"]) { if ($_SESSION["priv_update"]) { print "<input type='hidden' name='ccdev_id' value='" . $post_vars["ccdev_id"] . "' />"; print "<input type='submit' value = 'Update Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; print "<input type='submit' value = 'Delete Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; } } else { if ($_SESSION["priv_add"]) { print "<br><input type='submit' value = 'Save Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'><br>"; } } print "</td></tr>"; print "</form>"; print "</table><br>"; }
function form_ccdev_firstvisit() { if (func_num_args()>0) { $arg_list = func_get_args(); $menu_id = $arg_list[0]; $post_vars = $arg_list[1]; $get_vars = $arg_list[2]; $validuser = $arg_list[3]; $isadmin = $arg_list[4]; //print_r($arg_list); } if ($post_vars["ccdev_id"] && $post_vars["submitccdev"]) { $sql = "select mother_name, mother_educ_id, mother_occup_id, ". "father_name, father_educ_id, father_occup_id, ". "birth_weight, delivery_location,date_registered,mother_px_id ". "from m_patient_ccdev ". "where ccdev_id = '".$post_vars["ccdev_id"]."'"; if ($result = mysql_query($sql)) { if (mysql_num_rows($result)) { $ccdev = mysql_fetch_array($result); } } } if(empty($ccdev["date_registered"])): $ccdev_reg_date = ''; else: if($ccdev["date_registered"]!='0000-00-00'): list($reg_yr,$reg_month,$reg_date) = explode('-',$ccdev["date_registered"]); $ccdev_reg_date = $reg_month.'/'.$reg_date.'/'.$reg_yr; else: $ccdev_reg_date = ''; endif; endif; print "<a name='visit'>"; print "<table width='300'>"; print "<form action = '".$_SERVER["SELF"]."?page=".$get_vars["page"]."&menu_id=$menu_id&consult_id=".$get_vars["consult_id"]."&ptmenu=".$get_vars["ptmenu"]."&module=".$get_vars["module"]."&ccdev=VISIT1' name='form_consult_ccdev' method='post'>"; print "<tr valign='top'><td>"; print "<b>".FTITLE_CCDEV_DATA_FORM."</b><br/><br/>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='tinylight'><b>IMPORTANT:</b> ".INSTR_FIRST_VISIT."</span><br/><br/>"; // MATERNAL DATA print "<table bgcolor='#FFCCFF' width='300' cellpadding='3'>"; print "<tr><td>"; print "<span class='boxtitle'>DATE REGISTERED</span><br>"; print "<input type='text' size='11' class='textbox' name='ccdev_date_reg' value='$ccdev_reg_date' readonly></input> "; echo "<a href=\"javascript:show_calendar4('document.form_consult_ccdev.ccdev_date_reg', document.form_consult_ccdev.ccdev_date_reg.value);\"><img src='../images/cal.gif' width='16' height='16' border='0' alt='Click Here to Pick up the date'></a>"; print "</td></tr>"; echo "<tr><td>"; if (!isset($post_vars["mother_name"])) { $post_vars["mother_name"] = healthcenter::get_mothers_name($get_vars["consult_id"]); } print "<span class='boxtitle'>".LBL_MOTHERS_NAME."</span><br> "; print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='mother_name' value='".($ccdev["mother_name"]?$ccdev["mother_name"]:$post_vars["mother_name"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; echo "<tr><td>"; print "<span class='boxtitle'>PATIENT NUMBER OF MOTHERS IN CHITS</span>"; echo "<input type='text' name='mother_px_id' id='mothers' size='4' value='$ccdev[mother_px_id]'></input> "; echo "<input type='button' value='Verify' onclick='verify_mother_id();'></input>."; echo "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_MOTHERS_OCCUPATION."</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["mother_occup_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_MOTHERS_EDUCATION."</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='mother_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["mother_educ_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; // PATERNAL DATA print "<table bgcolor='#99CCFF' width='300' cellpadding='3'><tr><td>"; print "<span class='boxtitle'>".LBL_FATHERS_NAME."</span><br> "; print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='father_name' value='".($ccdev["father_name"]?$ccdev["father_name"]:$post_vars["father_name"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_FATHERS_OCCUPATION."</span><br> "; $sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name"; if ($result = mysql_query($sql_moccup)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_occup' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["father_occup_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_FATHERS_EDUCATION."</span><br> "; $sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name"; if ($result = mysql_query($sql_meduc)) { if (mysql_num_rows($result)) { print "<select size='5' name='father_educ' class='textbox'>"; while (list($id, $name) = mysql_fetch_array($result)) { print "<option value='$id' ".($ccdev["father_educ_id"]==$id?"selected":"").">$name</option>"; } print "</select>"; } } print "</td></tr>"; print "</table>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_BIRTH_WEIGHT."</span><br> "; print "<input type='text' class='textbox' size='10' maxlength='10' name='birth_weight' value='".($ccdev["birth_weight"]?$ccdev["birth_weight"]:$post_vars["birth_weight"])."' style='border: 1px solid #000000'><br>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>".LBL_DELIVERY_LOCATION."</span><br> "; print ccdev::show_delivery_location($ccdev["delivery_location"]?$ccdev["delivery_location"]:$post_vars["delivery_location"]); print "</td></tr>"; print "<tr><td><br/>"; if ($post_vars["ccdev_id"]) { if ($_SESSION["priv_update"]) { print "<input type='hidden' name='ccdev_id' value='".$post_vars["ccdev_id"]."' />"; print "<input type='submit' value = 'Update Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; print "<input type='submit' value = 'Delete Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> "; } } else { if ($_SESSION["priv_add"]) { print "<br><input type='submit' value = 'Save Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'><br>"; } } print "</td></tr>"; print "</form>"; print "</table><br>"; }